Works ksho hop: p: A Post t Covid-19 Agenda nda for Integrated - - PowerPoint PPT Presentation

Works ksho hop: p: A Post t Covid-19 Agenda nda for Integrated egrated Employ ploymen ment t Relations ns in Health h and Social al Care e

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Purpose

• 1. A New Agenda?
• 2. Feedback
• 3. Other Issues
• 4. Next Steps

• 1. Migrants: Stephen Bach
• 2. Pay: Ian Kessler
• 3. Learning: Richard Griffin
• 4. Outsourcing: Damian Grimshaw
• 5. Discussants & Discussion:
• Kathryn Mackridge, TUC
• Rachael McIlroy, RCN
• Jon Sutcliffe, LGA
• Stephanie Tailby, UWE
• 6. Summary

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Agenda

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This workshop is supported by the National Institute for Health Research (NIHR) Policy Research Programme (Policy Research Unit in Health and Social Care Workforce: Ref. PR-PRU-1217-21002). The views expressed are those of the contributors and not necessarily those of the NIHR or the Department of Health and Social Care.

1. Migrants 2. Pay 3. Learning & Development 4. Outsourcing 5. Discussants & Discussion

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Structure

Challenges Imagined Futures Current Set-up Covid-19

Integration Parity Compliance Voice Fair Care Work

The contribution of migrant workers in health and social care

The challenges of Covid-19

Role of migrant workers Systemic but uneven reliance on migrant workforce:

• sector
• occupation
• location

Experience of employment:

• integral component employer strategy
• informal employment practices
• vulnerability of migrant workers

Reinforces poor working conditions

Impact of Covid-19 A dispensable and ‘temporary’ workforce Keeping staff safe? Impact of precarious work and reliance

• n SSP

Higher death rates

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Mapping a way forward

Goal Ensure migrant workers are an integrated, planned and valued part of the workforce that results in dignity and fairness at work and removes their status as temporary, disposable and marginal workers, Shifting the immigration regime Trade union, professional association and employer policy An opportunity: Made the invisible visible

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Pay

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Healthcare: AfC PRB Outsourced: Deregulated Social Care: Green Book Comparability Affordability Labour Market Need Restraint Recruitment Retention Workforce Capacity Skills Mix Worth Pay Determination Pay Criteria Challenges COVID

Mapping the Way Forward

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Skill Occupation Sector Ethnicity Gender Locality Fair Reward Fair Pay Rate Sustainable Fair Pay

• Bonus
• Premium
• Informed CB
• PRB
• Commission
• Earnings

Indexation

• CoL

Indexation

• Comparability

A new deal for health and social care workforce learning

Context

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• 1.5 million “unregulated” H&SC workers
• Learning matters for everyone but access is uneven
• Three reviews since 2006 - missed opportunities?
• Recurring themes: siloes, quality, transferability, standardisation,

progression

• Improved learning improves outcomes

Recommendations

• “One workforce” approach
• “System (ICS) by default”
• Training levy not (just) the

apprenticeship levy

• Common education and development

frameworks & skills passports

• Learning entitlements
• Career information and guidance

(LLL)

• Greater role for trade

unions/professional bodies (ULRs)

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Outsourcing health and social care

Covid-19 challenges

Extensive engagement of private sector firms is raising key questions

• Two-tier working conditions?
• Sickness absence benefits
• Pay
• High staff turnover/ discontinuity of care
• Irregular employment contracts
• Fragmented supply chains? Short-term
• utsourcing contracts/ unclear accountability
• Clash of values – collective/social purpose versus

shareholder dividends?

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A way forward: Social Purpose License

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• Learn from existing initiatives (Fair Work Wales, Unison’s Ethical Care Charter, Living

Wage Foundation ‘Recognised Service Providers’, Two Tier Code

• Establish forum for all stakeholders to negotiate a new UK-wide mandatory approach
• Objective: a new Social Purpose License

Public sector commissioner/ client 1) 5+ years contracts 2) Fee to cover fair work 3) High quality services 4) Oversee training Provider 1) All terms and conditions at least as favourable as Agenda for Change 2) All conditions extended to temp. agency staff 3) No zero hours contracts 4) Union recognition 5) Capital return less than 5% 6) Parent company uK domiciled 7) No private equity fund control Regulator

• Awards, monitors,

reviews and revokes Social Purpose License

• Adapt License with

new research evidence

Summary and Next Steps

Integration

• Providers
• Sectors

Parity:

• Skill
• Occupation
• Nationality
• Ethnicity
• Locality

Compliance

• New regulation
• Existing regulation
• Research/evaluation

Voice

• Pay
• Learning
• H&S

Fair Care Work

The Future: Making it Happen

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• What: Policy Development
• Where: Spaces
• Who: Stakeholders
• How: Researchers
• When: Timetable